The effects of duration of any breastfeeding on body mass index in Australian children: Exploration of health, economic and equity impacts.

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Obesity Pub Date : 2024-08-29 DOI:10.1111/ijpo.13167

Joseph Carrello, Vicki Brown, Anagha Killedar, Alison Hayes

{"title":"The effects of duration of any breastfeeding on body mass index in Australian children: Exploration of health, economic and equity impacts.","authors":"Joseph Carrello, Vicki Brown, Anagha Killedar, Alison Hayes","doi":"10.1111/ijpo.13167","DOIUrl":null,"url":null,"abstract":"Background: Breastfeeding is a protective measure against childhood overweight and obesity. However, many children are not breastfed the recommended duration, with those from disadvantaged backgrounds more likely to cease breastfeeding early.Objectives: Investigate the association between duration of any breastfeeding and body mass index (BMI) and estimate the health, economic and equity impacts of increasing breastfeeding duration to at least 6 months.Methods: We modelled the association between any breastfeeding duration and BMI at age 6/7 years, using a nationally representative cohort of 3935 Australian children (survey weighted to 221 103 children). We then used a simulation model to predict the impact of increasing breastfeeding duration to at least 6 months in all children on prevalence of overweight (including obesity) and associated healthcare costs to age 16/17 years.Results: Achieving breastfeeding duration of at least 6 months could prevent 2933 cases of overweight at age 16/17 years, translating to healthcare cost-savings of AUD $4.29 million. Although most cases (68%) would come from low socio-economic backgrounds this would make only a minor difference in reducing inequalities.Conclusion: Efforts to support increased breastfeeding duration could result in reduced prevalence of overweight and obesity and save healthcare costs, however, additional action would be required to improve equity.","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e13167"},"PeriodicalIF":2.7000,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Obesity","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/ijpo.13167","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Breastfeeding is a protective measure against childhood overweight and obesity. However, many children are not breastfed the recommended duration, with those from disadvantaged backgrounds more likely to cease breastfeeding early.

Objectives: Investigate the association between duration of any breastfeeding and body mass index (BMI) and estimate the health, economic and equity impacts of increasing breastfeeding duration to at least 6 months.

Methods: We modelled the association between any breastfeeding duration and BMI at age 6/7 years, using a nationally representative cohort of 3935 Australian children (survey weighted to 221 103 children). We then used a simulation model to predict the impact of increasing breastfeeding duration to at least 6 months in all children on prevalence of overweight (including obesity) and associated healthcare costs to age 16/17 years.

Results: Achieving breastfeeding duration of at least 6 months could prevent 2933 cases of overweight at age 16/17 years, translating to healthcare cost-savings of AUD $4.29 million. Although most cases (68%) would come from low socio-economic backgrounds this would make only a minor difference in reducing inequalities.

Conclusion: Efforts to support increased breastfeeding duration could result in reduced prevalence of overweight and obesity and save healthcare costs, however, additional action would be required to improve equity.

查看原文本刊更多论文

母乳喂养持续时间对澳大利亚儿童体重指数的影响：探讨对健康、经济和公平的影响。

背景：母乳喂养是防止儿童超重和肥胖的一种保护措施。然而，许多儿童的母乳喂养时间并没有达到建议的期限，来自贫困家庭的儿童更有可能过早停止母乳喂养：调查母乳喂养持续时间与体重指数（BMI）之间的关系，并估算将母乳喂养持续时间延长至至少 6 个月对健康、经济和公平的影响：我们利用具有全国代表性的 3935 名澳大利亚儿童队列（调查加权为 221 103 名儿童），模拟了任何母乳喂养持续时间与 6/7 岁体重指数之间的关系。然后，我们使用模拟模型预测了将所有儿童的母乳喂养时间延长至至少 6 个月对超重（包括肥胖）发生率和 16-17 岁相关医疗成本的影响：结果：母乳喂养至少持续 6 个月可预防 2933 例 16/17 岁儿童超重，节省医疗成本 429 万澳元。尽管大多数病例（68%）来自社会经济地位较低的家庭，但这对减少不平等现象的影响微乎其微：支持延长母乳喂养时间的努力可降低超重和肥胖的发生率，并节约医疗成本，但还需要采取额外的行动来提高公平性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.